Provider Demographics
NPI:1386188464
Name:GREER, RICQUE (MS, LMHC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:RICQUE
Middle Name:
Last Name:GREER
Suffix:
Gender:F
Credentials:MS, LMHC, LPC
Other - Prefix:MISS
Other - First Name:RICQUE
Other - Middle Name:
Other - Last Name:MORROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 8885
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33674-8885
Mailing Address - Country:US
Mailing Address - Phone:814-397-9910
Mailing Address - Fax:
Practice Address - Street 1:707 E PATTERSON ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-4220
Practice Address - Country:US
Practice Address - Phone:814-397-9910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-08
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16280101YP2500X
PAPC009845101YP2500X
OHC.1600345101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional